High-fidelity 3D medical visualization supports applications such as clinical assessment and surgical planning. Sparse-view computed tomography (CT) can reduce projection requirements and associated radiation exposure, but limited observations may introduce structural artifacts and reconstruction uncertainty. Although 3D Gaussian Splatting (3DGS) provides an efficient explicit representation for volumetric rendering, existing CT methods based on standard Gaussian primitives may be sensitive to unreliable observations under sparse-view acquisition. We present TR-GS, a Gaussian-splatting framework for sparse view CT volumetric rendering. TR-GS replaces standard Gaussian primitives with projectable Student's t-distribution primitives and introduces a ray-confidence model that regulates their degrees of freedom according to local ray observability. Confidence-guided 3D wavelet regularization is further used to balance high-frequency detail preservation and noise suppression. This work is licensed under a Creative Commons Attribution 4.0 International License. Experiments on synthetic and real-world datasets show that TR-GS improves over representative baselines in most evaluated settings and remains competitive in the remaining cases. The resulting volumetric representations may support downstream medical multimedia applications, including XR-based visualization and interactive clinical rendering.
Medical image visualization requires volumetric rendering algorithms that preserve anatomical fidelity while maintaining high rendering speeds. To address the high computational cost of large volumetric datasets, we propose a Gaussian-based volumetric representation for efficient visualization of dense medical volumes without compromising structural and radiometric details. We optimize the proposed representation using Monte Carlo volumetric estimation, which enables training on a highly sparse subset of voxels while maintaining consistency with the dense volumetric objective. In addition, we introduce a curriculum learning strategy that progressively incorporates structured slice-based sampling during training. Sparse voxel samples provide an early global coverage of the volume, while slice samples capture spatially correlated regions that aid geometric structure and texture continuity. This combination enables the Gaussian representation to learn anatomical details of various structures and corresponding textures from sparse supervision while significantly reducing the computational cost associated with dense voxel processing. The learned representation supports slice-based rendering methods such as shear-warp volume rendering, enabling efficient visualization of multimodal medical datasets including MRI and Cryosection volumes while preserving anatomical structures. Using sparse supervision, our method achieves up to 43.86 FPS rendering with a compression ratio of 11.31:1.